Alexander Denise, Rigby Michael J, Di Mattia Pasquale, Zscheppang Anja
Department of International Health, School for Public Health and Primary Care (CAPHRI), Maastricht University, PO Box 616, 6200 MD Maastricht, The Netherlands ; School of Public Policy and Professional Practice, Chancellor's Building, Keele University, Keele, Staffordshire ST5 5BG UK.
Nordic School of Public Health, Box 12133, 402 42 Gothenburg, Sweden ; School of Public Policy and Professional Practice, Chancellor's Building, Keele University, Keele, Staffordshire ST5 5BG UK.
Z Gesundh Wiss. 2015;23(2):87-94. doi: 10.1007/s10389-015-0657-8. Epub 2015 Mar 1.
Childhood obesity is an important concern for child health. However, despite widespread concern about the increase in childhood obesity, its causes are not monitored systematically in Europe. In 2007, the Scientific Platform Project on Lifestyle Determinants of Obesity identified routine data sources nationally available in European countries to measure childhood obesity. This work was revisited in 2014 to monitor any progress made.
In 2007, a literature review and project discussion resulted in a list of desirable indicators that could be collected in Europe to describe child populations at risk of overweight and obesity. Participants from EU member states, the EEA, Croatia, Macedonia and Turkey set out to discover which countries collected these indicators. Eight years later, a literature search sought to establish if the surveillance of children's nutrition and physical activity behaviour had changed.
In 2007, no countries collected all variables for all ages, leading to major gaps in knowledge. A literature search carried out in 2014 suggests that this is unchanged. There remains inconsistency of data surveillance in Europe, and disagreement on which age groups to collect data from or how to define obesity and overweight.
There is a lack of consistent data collection on upstream influences on obesity. The true causes of the childhood obesity epidemic remain undiscovered, and the ability of research to identify effective prevention and treatment methods is compromised.
儿童肥胖是儿童健康领域的一个重要问题。然而，尽管人们普遍关注儿童肥胖率的上升，但在欧洲，其成因并未得到系统监测。2007年，肥胖生活方式决定因素科学平台项目确定了欧洲各国可用于衡量儿童肥胖的常规数据来源。2014年对这项工作进行了重新审视，以监测取得的进展。
2007年，通过文献综述和项目讨论得出了一份理想指标清单，这些指标可在欧洲收集，用于描述有超重和肥胖风险的儿童群体。来自欧盟成员国、欧洲经济区、克罗地亚、马其顿和土耳其的参与者着手了解哪些国家收集了这些指标。八年后，通过文献检索来确定儿童营养和身体活动行为的监测情况是否发生了变化。
2007年，没有一个国家收集了所有年龄段的所有变量，导致存在重大知识空白。2014年进行的文献检索表明情况并未改变。欧洲的数据监测仍然存在不一致的情况，对于收集哪些年龄组的数据以及如何定义肥胖和超重也存在分歧。
在肥胖的上游影响因素方面缺乏一致的数据收集。儿童肥胖流行的真正原因仍未被发现，这削弱了研究确定有效预防和治疗方法的能力。
